| Tier1 Performance Coach | |
|
347 Jessica Dr Middletown DE 19709-4013 | |
| (302) 357-0029 | |
| Not Available |
| Full Name | Tier1 Performance Coach |
|---|---|
| Speciality | Psychologist - Exercise & Sports |
| Location | 347 Jessica Dr, Middletown, Delaware |
| Authorized Official Name and Position | Justin Tillinghast (MENTAL PERFORMANCE COACH) |
| Authorized Official Contact | 3023570029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tier1 Performance Coach 347 Jessica Dr Middletown DE 19709-4013 Ph: (302) 357-0029 | Tier1 Performance Coach 347 Jessica Dr Middletown DE 19709-4013 Ph: (302) 357-0029 |
| NPI Number | 1982295358 |
|---|---|
| Provider Enumeration Date | 01/28/2021 |
| Last Update Date | 01/28/2021 |
| Certification Date | 01/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982295358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TE1100X | Psychologist - Exercise & Sports | (* (Not Available)) | Primary |
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